经尿道前列腺电切术与双极等离子前列腺切除术对良性前列腺增生患者性功能影响的对比研究  

Impact of minimally invasive surgery on the sexual function of patients with benign prostatic hyperplasia

作　　者：杨玉恺[1] 李飞[1] 陆鲲[1] 周德雄[1] 胡东亮[2] 胡万里[2] 

机构地区：[1]荆州市第二人民医院泌尿外科,湖北荆州434000 [2]武汉大学中南医院泌尿外科,武汉430000

出　　处：《中国性科学》2015年第7期5-7,共3页Chinese Journal of Human Sexuality

摘　　要：目的:评价经尿道前列腺电切术(TURP)与经尿道双极等离子前列腺切除术(PKRP)治疗良性前列腺增生对患者术后性功能的影响。方法:采用随机分组法将2011年6月至2013年9月我院收治的良性前列腺增生患者156例分成两组,各78例,分别给与不同手术方式。记录患者术后国际前列腺症状评分表(IPSS)及国际勃起功能指数评分表(IIEF-5)的评分,同时观察术后患者阴茎勃起功能障碍、精液量减少及逆行射精的发生情况。结果:术后6、9个月两组患者IPSS评分较术前均有所下降,差异有统计学意义(P<0.05);但组间IPSS评分均无明显差异(P>0.05)。术后6、9个月,PKRP组IIEF-5评分均高于TURP组(P<0.05),PKRP组患者的ED发生率(7.69%)显著低于TURP组(24.36%)(P<0.05%)。结论:与经尿道前列腺电切术相比,经尿道双极等离子前列腺切除术较经尿道电切术能够降低术后阴茎勃起功能障碍的发生率,对患者的性功能影响较小。Objectives： To evaluate the postoperative sexual function of patients having received transure- thral resection of the transurethral resection （TURP） and bipolar plasma kinetic resection of the prostate （PKRP） for benign prostatic hyperplasia （BPH）. Methods： 156 BPH patients who were treated in four hospitals from June 2011 to September 2013 were selected and divided into two groups randomly. Each group had 78 cases, and was given different surgical methods. The International Prostate Symptom Score （ IPSS）, the International Index of Erec- tile Function score （ IIEF - 5）, the incidence of erectile dysfunction, retrograde ejaculation and ejaculation reduce were observed. Results： Compared with those preoperative, the IPSS score 6 months and 9 months after operation ofthe two groups decreased, with statistically significant difference （ P 〈 0. 05 ） ; difference in the IPSS scores was not significant between the two groups （P 〉 0. 05 ）. The IIEF - 5 scores 6 months and 9 months after operate were higher in PKRP group than that in the TURP group （ P 〈 0. 05 ）. The incidence of ED in the PKRP group （ 7.69% ） was significantly lower than that in the TURP group （24.36） （P 〈0.05% ）. Conclusions： Compared with tran- surethral resection of the prostate, bipolar plasma kinetic resection of the prostate can reduce the incidence of post- operative erectile dysfunction, and induce fewer adverse effects on the patient＇ s sexual function.

关 键 词：良性前列腺增生 经尿道前列腺电切除术 经尿道双极等离子前列腺切除术 性功能 

分 类 号：R697.32[医药卫生—泌尿科学]